Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1988
NPI: 1063514040
Practice Locations (2)
LAKEMARY CENTER INC
100 LAKEMARY DR
PAOLA, KS 660711855
9135354722
REDISCOVER
7001 BLUE RIDGE BLVD
RAYTOWN, MO 641335629
8169860900
Source: CMS National Downloadable File, September 2026.